1.
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2.
Which is NOT true regarding ICD 10 Codes?
Correct Answer
D. ICD 10 is limited for adding new codes
Explanation
ICD 10 is not limited for adding new codes. The International Classification of Diseases, 10th Revision (ICD-10) is a coding system that is regularly updated to accommodate new medical conditions, procedures, and technologies. It allows for the addition of new codes to ensure accurate and comprehensive classification of diseases and health conditions.
3.
What does ICD 10 stand for?
Correct Answer
D. International Coding of Disease 10th Edition
Explanation
ICD 10 stands for International Coding of Disease 10th Edition. It is a standardized system used by healthcare professionals to classify and code diseases, symptoms, and medical procedures. The ICD 10 system helps in the collection, analysis, and interpretation of health data, as well as in the billing and reimbursement process. It is widely used internationally and provides a common language for healthcare professionals to communicate and share information about diseases and health conditions.
4.
What is a placeholder?
Correct Answer
D. An "X" in one of the code positions
Explanation
A placeholder refers to an "X" in one of the code positions. In coding, a placeholder is used to represent a value or data that is not yet known or specified. It is typically used to reserve a spot for future input or to indicate that a particular value is missing or unknown. By using an "X" as a placeholder, it allows for flexibility in the code and can be easily identified and replaced with the correct value when it becomes available.
5.
What are the steps to get an ICD 10 code?
Correct Answer
B. Diagnose Patient, AlpHabetical Index, Tabular Index
Explanation
The correct answer is "Diagnose Patient, Alphabetical Index, Tabular Index". This sequence of steps is the correct order to follow in order to obtain an ICD 10 code. First, the patient's diagnosis needs to be determined. Then, the Alphabetical Index can be used to find the corresponding code for that diagnosis. Finally, the Tabular Index is consulted to ensure accuracy and to provide any additional information or guidelines related to the specific code.
6.
Does my ICD 10 require a 7th digit extension?Where do i look?
Correct Answer
C. Beginning of code selection in the Tabular Index
Explanation
The correct answer is "Beginning of code selection in the Tabular Index." In the ICD-10 coding system, the Tabular Index is where you find the codes for specific conditions. The 7th digit extension is used to provide additional specificity for certain codes. Therefore, when looking for the requirement of a 7th digit extension, you would start at the beginning of the code selection in the Tabular Index.
7.
If a patient starts therapy on Sept 26 and is discharged on Oct 23 and claims are submitted on Nov 4:
Correct Answer
D. All dates in Sept will be ICD 9 and all dates in Oct will be ICD 10
Explanation
The correct answer is "All dates in Sept will be ICD 9 and all dates in Oct will be ICD 10." This is because the implementation date for ICD-10 was October 1, 2015. Therefore, any services provided before that date should be coded using ICD-9, and any services provided on or after that date should be coded using ICD-10. In this case, since the patient started therapy on September 26 (before October 1), the dates in September would be coded using ICD-9. Similarly, since the patient was discharged on October 23 (after October 1), the dates in October would be coded using ICD-10.
8.
A patient comes to therapy with Shoulder pain, 2 weeks later has follow up with MD and the patient tells you they are diagnosed with a RTC Tear. Can the provider change the code per patients subjective information?
Correct Answer
B. No
Explanation
No, the provider cannot change the code based on the patient's subjective information. The diagnosis of a RTC Tear should be made by a medical professional, such as the MD, based on objective medical evidence and diagnostic tests. The provider should rely on the official diagnosis made by the MD rather than the patient's subjective information.
9.
During course of care are you expected to change the ICD 10 code if further diagnostic testing shows a different diagnosis?
Correct Answer
A. True
Explanation
During the course of care, it is expected that the ICD 10 code may need to be changed if further diagnostic testing reveals a different diagnosis. This is because the initial diagnosis may have been based on incomplete information or preliminary findings. As more information becomes available, the healthcare provider may need to update the ICD 10 code to accurately reflect the patient's condition and guide appropriate treatment and billing.
10.
Which Insurance Companies are NOT required to comply to ICD 10?
Correct Answer
B. No- Fault
Explanation
No-Fault insurance companies are not required to comply with ICD-10. This is because No-Fault insurance is a type of coverage that pays for medical expenses and other damages regardless of who is at fault for an accident. Since No-Fault insurance policies do not require the determination of fault, they do not need to adhere to the specific coding and billing requirements of ICD-10, which is a set of medical coding guidelines used for billing purposes.
11.
Patient comes into therapy with Bil knee pain.What would you code?
Correct Answer
D. Right and Left Knee pain codes
Explanation
The correct answer is to code both right and left knee pain. This is because the patient presents with bilateral knee pain, meaning that they are experiencing pain in both knees. Coding both right and left knee pain accurately reflects the patient's condition and ensures that both knees are addressed in the treatment plan.
12.
When coding S/P Right ACL Reconstruction S83.511DDo you need to also include the Surgical Aftercare Code Z47.89
Correct Answer
B. No
Explanation
No, you do not need to include the Surgical Aftercare Code Z47.89 when coding S/P Right ACL Reconstruction S83.511D. The Surgical Aftercare Code is used to indicate that the patient is receiving aftercare following a surgical procedure. Since S/P Right ACL Reconstruction already indicates that the patient has undergone a surgical procedure, there is no need to include the Surgical Aftercare Code.
13.
When coding for Right TKR Z96.651Would you also include Total Joint Aftercare code Z47.1
Correct Answer
A. Yes
Explanation
The correct answer is "Yes" because when coding for a right total knee replacement (TKR), it is appropriate to also include the code for total joint aftercare (Z47.1). The aftercare code indicates that the patient is receiving ongoing care and monitoring following the surgery.
14.
ICD 10 coding:
Correct Answer
B. Requires accurate and through documentation
Explanation
The correct answer is "Requires accurate and thorough documentation." This is because ICD-10 coding requires detailed and precise documentation in order to assign the correct codes. Without accurate and thorough documentation, it would be difficult to accurately code and classify medical diagnoses and procedures. Direct mapping from ICD-9 and the support for unspecified codes are not the main requirements for ICD-10 coding.
15.
If you have a question about an ICD 10 code,Contact:
Correct Answer
D. All the above
Explanation
The correct answer is "All the above" because the question asks about who to contact for a question about an ICD 10 code. Since the question does not specify a single contact person, the correct answer includes all the mentioned options: Chariese, Jamie, and Jon.
16.
How many ICD 10 codes can I use?
Correct Answer
D. As many as i need
Explanation
The correct answer is "As many as I need" because the ICD-10 coding system allows healthcare professionals to use as many codes as necessary to accurately describe a patient's condition or diagnosis. There is no set limit on the number of codes that can be used for a single patient encounter. This flexibility ensures that healthcare providers can provide detailed and specific information for billing, research, and statistical purposes.
17.
What does the 7th Charachter D mean?
Correct Answer
A. Indicates the patient is receiving routine care for an injury during the healing or recovery pHase.
Ex - aftercare and follow up
Explanation
The 7th character "D" indicates that the patient is receiving routine care for an injury during the healing or recovery phase. This includes aftercare and follow-up appointments. This option is the correct answer because it accurately describes the meaning of the 7th character "D" in relation to patient care for an injury.
18.
Who has to use ICD 10?
Correct Answer
D. All the above
Explanation
ICD-10 is a standardized system for coding and classifying medical diagnoses and procedures. It is used by hospitals, private practices, and nursing facilities to accurately document and track patient conditions, treatments, and outcomes. By implementing ICD-10, these healthcare settings can ensure consistent and comprehensive documentation, facilitate accurate billing and reimbursement, and improve overall patient care and safety. Therefore, all the mentioned healthcare facilities need to use ICD-10 for effective medical coding and classification.
19.
When coding, you want to code the RESULT rather than the CONDITION
Correct Answer
B. False
Explanation
The statement "When coding, you want to code the RESULT rather than the CONDITION" is incorrect. In coding, it is important to code both the condition and the result. The condition determines when the result will be executed, so it is necessary to include it in the code. By coding both the condition and the result, the program can make decisions and perform actions based on certain conditions.
20.
If i see a patient as Direct Access, and the code requires a 7th Character, Would i use an A, D or S as my 7th Character?
Correct Answer
C. A
Explanation
If a patient is seen as Direct Access and the code requires a 7th Character, the appropriate 7th Character to use would be "A". This is because "A" represents the initial encounter for active treatment. The other options, "D" and "S", do not apply in this scenario. "D" is used for subsequent encounters for active treatment, and "S" is used for sequela or complications arising from a previous condition.
21.
When coding accurecty, you want to always remember
Correct Answer
D. All the above
Explanation
The explanation for the given correct answer is that when coding accurately, it is important to consider all the factors mentioned in the options. Understanding the "what" helps in identifying the patient's condition and the cause of it. Knowing the "when" helps in determining the stage of treatment or recovery. Considering the "why" helps in understanding the underlying cause for seeking therapy. Therefore, it is crucial to remember all these aspects to ensure accurate coding.